NR 510 Week 4 Case Study Discussion Part 3.docx - NR510 week 4 disc3 Discussion Part Three(graded Due to the incident you are concerned with office

NR 510 Week 4 Case Study Discussion Part 3.docx - NR510...

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NR510 week 4 disc3 Discussion Part Three (graded) Due to the incident, you are concerned with office policies & procedure. Upon investigation, you find there isn’t a policy in place to address non-urgent patient requests for prescriptions. Discussion Question: What quality improvement strategies might you implement as an APN in this practice to safeguard your role & assure patient safety? Provide evidence to support your response. Topic responses Discussion Exp& All More Sort By: Meghan Mills 7/11/2016 8:47:38 Part 3 What quality improvement strategies might you implement as an APN in this practice to safeguard your role & assure patient safety? Provide evidence to support your response. Eaton (2012) writes about managing what may feel like a bombardment of e-mails, voicemail, phone calls, & facsimile messages in a primary care practice. For non-urgent prescription requests or refills, protocols are in place for non-provider office staff such as Stephanie the medical assistant to easily follow (Eaton, 2012). Additionally, Eaton (2012) discusses using secure messaging to allow patients to use e-mail as a way of
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communicating non-urgent requests, “We educate our patients that the following types of communication are appropriate for secured messaging: prescription refill requests, appointment requests, nonurgent medical advice, nonurgent medical follow up (including certain test results), & nonurgent medical correspondence” (p. 26). One interesting example of an in-office policy on non-urgent prescription requests is setting up a 24-hour voicemail box dedicated specifically to patient prescription requests in which the pharmacy &/or patient will be contacted within 24 hours of the message being left (Westwood Cardiology Associates, 2003). References Eaton, P. (2012). Managing messages. Family Practice Management, 19 (5), 25-29. Retrieved from Westwood Cardiology Associates P.A. (2003). Our office policies . Retrieved from Show Less Katherine De Los Trinos-Ocampo reply to Meghan Mills 7/29/2016 9:12:16 AM RE: Part 3 Dear Meghan, I agree that the amount of emails & voicemails that primary practices receive can be overwhelming. As a quality improvement initiative I would have Stephanie the MA screen the voicemails & prioritize them. I would have an in service on what constitutes a priority & how to triage accordingly. I would then have Stephanie email each physician or APN their “voicemail” task list. I would flag the email & have a specific title for the email that physicians & APNs can recognize as an email specifically for this task. I know through my pediatrician’s office I can renew prescriptions through the patient portal, but only with medications that have st&ing orders. Antibiotics usually are not st&ing orders & need to be verified with the prescribing physician or APN by the pharmacy before the fill it. Either way a policy needs to be put in place because not only do they protect you legally, but they also
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  • Winter '16
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